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Organization

SENECA FAMILY DENTISTRY

Active
Parent organization
SENECA FAMILY DENTISTRY
Organization subpart
Yes

Provider details

NPI number
Legal business name
SENECA FAMILY DENTISTRY
Authorized official
MAXWELL EUGENE WHITE DDS (DENTIST)
(316) 522-4759
Entity
Organization

Contact information

Practice address
2860 S SENECA ST, WICHITA, KS 67217-2865
(316) 522-4759
(316) 522-3250
Mailing address
2860 S SENECA ST, SUITE C, WICHITA, KS 67217-2865
(316) 522-4759
(316) 522-3250

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
60967
KS

Other

Enumeration date
07/28/2016
Last updated
07/28/2016
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